Registration Form
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Parents Details
Mother's Name
Father's Name
Additional Details
When do you want to start or join our program?
How did you hear about our programs?
Do you have any promotional code?
Yes
No
Who else may pick up your child?
Your Home Address
Your Phone Number
Your Email
Please type your email address again
Password
Please Type Confirm Password
#1 Child's Details
Child's Full Name
Child's Gender
M
F
Child's Birthday
If you are registering for the K-5 program, what grade will he / she be in (for this coming school year) ?
Are you registering for -
CO-OP w/ Volunteer
PRE-K
1st & 2nd Grade
Transitional Kindergarten Program
CO-OP w/o Volunteer
Kindergartener
PreK-5 Summer Camp
What classes/sessions and days are you interested in enrolling your child? For preschool, "Winter Quarter, Session 2 and 3, Mon & Wed & Fri." For Co-Op, please type "Tues & Thurs 9am-12pm."
Which previous school/daycare has your child been to?
Can you tell us something about your child? What would you like him / her to learn or improve in class? What are his / her strengths or weaknesses?
Add additional child
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